Gabriela Pacheco, FNP-C
NPI 1619738457ActiveIndividual· Nurse Practitioner, Family· Decatur, TX
Nurse Practitioner, Family (FNP-C) with Texas Oncology PA, practicing in Decatur, Texas. Their prescriptions cost Medicare Part D more than their services did: $50,957 for 39 claims, against $9,368 paid for services in 2024. Lilly USA, LLC was the largest of 6 companies reporting payments in 2025, $207.01 in all, mostly food and beverage. Lists Graham Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1619738457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Apr 11, 2024 |
| Certified by provider | Apr 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1150312 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 235 across 18 procedure codes |
| Paid by Medicare | $9,368 |
Part D prescriptions in 2024
| Prescriptions (claims) | 39 · 51 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $50,957 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Texas Oncology PAPlano, TX · 1,014 clinicians
Hospital affiliations
- Graham Regional Medical CenterGraham, TX
- United Regional Health Care SystemWichita Falls, TX
Industry payments (Open Payments)
- 2025$207.01 · 7 payments from 6 companies
- 2024$577.70 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $99.68 | 2 |
| Janssen Biotech, Inc. | $26.99 | 1 |
| Becton, Dickinson and Company | $24.32 | 1 |
| Merck Sharp & Dohme LLC | $20.76 | 1 |
| Astrazeneca Pharmaceuticals LP | $19.32 | 1 |
What the 2025 payments were for
- Food and Beverage$181.53 · 6 payments
- Education$25.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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